National Provider Identifier [NPI]: |
1154380343 |
Last Name Of The Provider |
ARAKERE |
First Name Of The Provider |
PUSHPALATHA |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7035 N MAPLE AVE |
Street Address 2 Of The Provider |
SUIT-101 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937208015 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
2030 |
Number Of Medicare Beneficiaries |
452 |
Total Submitted Charge Amount |
337535 |
Total Medicare Allowed Amount |
285588.22 |
Total Medicare Payment Amount |
222851.02 |
Total Medicare Standardized Payment Amount |
217102.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
440 |
Total Drug Medicare AllowedAmount |
130.89 |
Total Drug Medicare PaymentAmount |
126.26 |
Total Drug Medicare Standardized Payment Amount |
126.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
2011 |
Number Of Medicare Beneficiaries With Medical Services |
452 |
Total Medical Submitted Charge Amount |
337095 |
Total Medical Medicare Allowed Amount |
285457.33 |
Total Medical Medicare Payment Amount |
222724.76 |
Total Medical Medicare Standardized Payment Amount |
216976.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
289 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
107 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.7772 |